Health Care Bill Summary

From Peter Fleckenstein’s Blog- http://blog.flecksoflife.com/2009/07/19/the-hc-monstrosity/

  • Pg 22 of the HC Bill MANDATES the Govt will audit books of ALLEMPLOYERS that self insure!! WTF!!

  • PG 24 Sec116 of HC bill Govt effectively sets prices for ALL private health plans.WTF!!!! 

  • Pg 29lines 4-16 in the HC bill – YOUR HEALTHCARE IS RATIONED!!!

  • Pg 30 Sec123 of HC bill – THERE WILL BE A GOVT COMMITTEE that decides whattreatments/benes u get.

  • Pg 37 Sec132 of HC Bill – The Govt will be reviewing grievances about themselves and will decide on appeals for rejected claims.

  • Pg 42 ofHC Bill – The Health Choices Commissioner will choose UR HC Benefits 4 you. U have no choice!

  • PG 50 Section 152 in HC bill – HC will be provided 2 ALL non US citizens, illegal or otherwise. 

  • Pg 58HCBill – Govt will have real-time access 2 individs finances & a National ID Healthcard will b issued!

  • Pg 59 HCBill lines 21-24 Govt will have direct access 2 ur banks accts 4 elect. funds transfer! 

  • Pg 61 HC Bill lines 22-24 Congress has no clue what Elec. Med Records will cost. Asks for estimate.

  • Pg 62 HC bill – Protection of Data, Govt shows they will have database of ur pers & financial info.

  • Pg 64 lines 21-25, pg65 lines 1-5 which refers 2 this http://www.ssa.gov/OP_Home/ssact/title11/1179.htm (expand). It says the Govt does not

  • PG 65 Sec 164 is a payoff subsidized plan 4 retirees and their families in Unions & community orgs (ACORN).

  • Pg 72 Lines 8-14 Govt is creating an HC Exchange 2 bring priv HC plans under Govt control. 

  • PG 84 Sec 203 HC bill – Govt mandates ALL benefit pkgs 4 priv. HC plans in the Exchange. 

  • PG 85 Line 7 HC Bill – Specs for of Benefit Levels for Plans = The Govt will ration ur Healthcare!

  • PG 85 Line 7 HC Bill – Specs of Ben Levels 4 Plans. #AARP members – U Health care WILL b rationed.

  • PG 89 Lines 6-10 HC Bill – The FAR is not applicable. Govt can write contracts any way they want.

  • Pg 95 HC Bill Lines 8-18 The Govt will use groups i.e., ACORN & Americorps 2 sign up indiv. for Govt HC plan.

  • Pg 98 HC Bill Line 8 – Americans u will be paying 4 others HC while paying 4 ur own.

  • Pg 100 HC Bill Lines 15-19 The govt WILL be using ACORN and other comm. grps to promote & enroll.

  • PG 102 Lines 12-18 HC Bill – Medicaid Eligible Indiv. will b automat.enrolled in Medicaid. No choice 

  • PG 109 Sec 207 – Health Trust Fund. The Govt will raise taxes on EVERYONE 2 fund HC as they see fit.

  • PG 110 Lines 7-12 HC Bill Employment taxes on ALL employers NOT offering Govt HC. No choice.

  • Pg 110 Lines 13-18 An excise tax on ALL goods from companies not offering Govt HC. ALL Americans pay.

  • Pg 111 Sec 208 The Federal Govt will usurp all State powers in State Based HC Exchng. Violation 10th Amend.

  • Pg 119 HC Bill Lines 1-3 establish geographically-adj prem. rates 4 pub opt. Can u say ACORN census?

  • Pg 121 Sec 223 HC bill- PAYMENT RATES FOR ITEMS AND SERVICES. Can u say Govt price fixing & monopoly?

  • pg 124 lines 24-25 HC No company can sue GOVT on price fixing. No “judicial review” against Govt Monop.

  • pg 126 lines 10-15 HC Bill – The Govt can make up prices for anything at anytime for any reason.

  • pg 127 Lines 1-16 HC Bill – Doctors – The Govt will tell YOU what u can make. 

  • PG 129 HC Bill – The public opt will be subsidized. Credits= Ur tax dollars. Redistribution of wealth. 

  • Pg 130 Lines 10-23 HC Bill – FedGovt will subsidize State Medicaid= Even Higher State & Fed taxes 4 ALL. 

  • Pg 145 Line 15-17 An Employer MUST auto enroll employees into pub opt plan. NO CHOICE. 

  • Pg 146 Lines 22-25 Employers MUST pay 4 HC 4 part time employees AND their families. 

  • Pg 149 Lines 16-24 ANY Emplyr w payroll 400k & above who does not prov. pub opt. pays 8% tax on all payroll.

  • pg 150 Lines 9-13 Biz w payroll btw 251k & 400k who doesnt prov. pub. opt pays 2-6% tax on all payroll. 

  • Pg 151 Lines 1-3 HC Bill Aggregate Rules-tax on employers payroll not on pub opt. incl payroll of other biz. 

  • Pg 167 Lines 18-23 ANY individual who doesnt have acceptable HC accrdng 2 Govt will be taxed 2.5% of inc.

  • Pg 170 Lines 1-3 HC Bill Any NONRESIDENT Alien is exempt from indiv. taxes. (Americans will pay)

  • Pg 195 HC Bill -officers & employees of HC Admin (GOVT) will have access 2 ALL Americans finan/pers recs.

  • pg 198 lines 1-3 HC Bill 1.5% ADDITIONAL TAX on peeps who have income of 500k to 1mil. Redist Wealth.

  • pg 198 lines 4-6 HC Bill 5.4% ADDITIONAL TAX on peeps who have income of 1mil+. Redist Wealth

  • PG 199 Lines 1-4 HC Bill Surtax rates on raised AGAIN on Americans in 2012.

  • PG 201 Lines 12-19 HC – Govt will ignore whatever costs they see fit 2 show savings. (Cookin the books) 

  • PG 203 Line 14-15 HC – “The tax imposed under this section shall not be treated as tax” Yes, it says that.

  • Pg 202-215 HC Bill is a GOVT rewrite of the tax code ensuring more taxes for EVERYONE, Everywhere. 

  • Pg 239 Line 14-24 HC Bill Govt will reduce physician svcs 4 Medicaid. Seniors, low income, poor affected.

  • Pg 241 Line 6-8 HC Bill – Doctors, doesnt matter what specialty u have, you’ll all be paid the same.

  • PG 237 Line 1-3 National rate of uninsur defind by Census. Can u say ACORN corruption?

  • Pg 238-249 Sec 1121 Doctors-Govt mandates ur growth, costs, value, svcs, & income. Peeps-Welcm 2 rationing

  • Pg 239 Line 10-12 Medicare DSH payments will be increased. Can u say even higher taxes for all?

  • PG 253 Line 10-18 Govt sets value of Dr’s time, prof judg, etc. Literally value of humans. We’re nxt.

  • Pg 260 Sec 1125 HC Fed Govt will adjust Medicare Payment Localities 4 California based on Census. ACORN?

  • PG 265 Sec 1131Govt mandates & controls productivity for private HC industries. 

  • PG 268 Sec 1141 Fed Govt regulates rental & purchase of power driven wheelchairs. 

  • Pg 270 Sec 1144 Govt Mandates that all private ambulatory surgical centers submit cost data & other data 

  • PG 272 SEC. 1145. TREATMENT OF CERTAIN CANCER HOSPITALS – Cancer patients – welcome to rationing! 

  • PG 276 Line 3-20 Oxgen Equip & Supply Cos -Govt MANDATES u will provide suppl NO MATTER where indiv. is. 

  • Pg 287 Line 14-25 PROOF that Govt will ration HC by mandating waiting periods for readmission.

  • Pg 298 Lines 9-11 Drs, treat a patient during initial admiss that results in a readmiss-Govt will penalize u. 

  • Pg 300 Line 1-18 The Govt will MANDATE Post Acute Care svcs(what), how Drs. get paid, etc. 

  • PG 303 L 12-25 Post Acute Care Svcs Data – Govt will collect data including Pers. info as they see fit. 

  • Pg 304 L 17-19 BIG ONE HERE: Expedited Data Collection – Chapter 35 o… Read More: http://www.twitlonger.com/show/c5bcfdae5fa79a650bbdab6be70918ac

  • Pg 306 L 3-6 The Govt can expand the scope & size of Post Acute Program Svcs anytime & as they see fit. 

  • Pg 304 L 17-19 Govt does NOT have 2 protect ur priv, share w any1, & is not resp http://www.twitlonger.com/show/c5bcfdae5fa79a650bbdab6be70918ac (expand) 

  • pg 313 L 9-14 Govt MANDATES Health Svcs providrs will state ownership, invest, & compensation arrangements. 

  • Pg 317 L13-20 OMG!! PROHIBITION on ownership/investment. Govt tells Drs. what/how much they can own. 

  • Pg 317-318lines 21-25,1-3 PROHIBITION on expansion- Govt is mandating hospitals cannot expand. 

  • Pg 318-319 HC Bill – Govt is mandating how hospitals & physicians conduct business & investments. We’re nxt

  • pg 321 2-13 Hospitals have oppt to apply for exception BUT community input required. Can u say ACORN?!! 

  • Pg 328 Sec 1157 Govt study disguised. Its a HC workforce study mandated by law for unionization

  • Pg 336-339 – Govt mandates estab. of outcome based measures. HC the way they want. Rationing. 

  • Pg 341Lines 3-9 Govt has authority 2 disqual Medicare Adv Plans, HMOs, etc. Forcing peeps in2 Govt plan

  • Pg 354 Sec 1177 – Govt will RESTRICT enrollment of Special needs ppl! WTF. My sis has down syndrome!! 

  • Pg 355-369 Sec 1181 Govt disguises tax on Drug Cos as rebate 2 Govt 2 subsidize Drugs. We pay in the end. 

  • Pg 379 Sec 1191 Govt creates more bureaucracy – Telehealth Advisory Cmtte. Can u say HC by phone

  • Pg 399 – If ur a subsidy eligible individ under Medicare part D and u dont enroll, the Govt will autoenroll u. 

  • PG 401Sec 1221 Americans will fund Medicare Language & Translation Svcs Program. Can u say MORE taxes? 

  • PG 404 Lines 12-16 Govt exempts itself again from – Chap 35 of title 44, USC incl. privacy of Americans. 

  • Pg 404 Lines 17-19 Govt doesnt know the cost of Language svcs but states that money is there. 

  • Pg 425 Lines 17-19 Govt will instruct & consult regarding living wills, durable powers of atty. Mandatory! 

  • PG 425 Lines 22-25, 426 Lines 1-3 Govt provides apprvd list of end of life resources, guiding u in death. 

  • PG 425 Lines 4-12 Govt mandates Advance Care Planning Consult. Think Senior Citizens end of life. 

  • PG 427 Lines 15-24 Govt mandates program 4 orders 4 end of life. The Govt has a say in how ur life ends. 

  • PG 429 Lines 10-12 “adv. care consultation” may incl an ORDER 4 end of life plans. AN ORDER from 

  • Pg 429 Lines 13-25 – The govt will specify which Doctors can write an end of life order. Logan’s Run anyone? 

  • Pg 429 Lines 1-9 An “adv. care planning consult” will b used frequently as patients health deteriorates. 

  • PG 430 Lines 11-15 The Govt will decide what level of treatment u will have at end of life. 

  • PG 432 Lines 18-21 The Govt will publish “quality measures” 4 individual’s end of life in Federal Register. 

  • PG 434 Section 1234 Military Active, Reservists, Families – If ur not enrolled in Tricare it is mandated

  • PG 434 Section 1234 Military Active, Reservists, Families – Once HC bill is passed ur premiums will go up. 

  • PG 438 Sec 1236 – The Govt will develop a patient decision making aid program that u & Dr. WILL use. 

  • PG 443 Lines 7-24 Govt at taxpayers exp, test out an “Accountable Care Org” program (Gov doesnt have plan).

  • PG 444 Lines 1-6 Gov’s Accountable Care Program will mandate svcs & infrastructure thru reward/penalty sys. 

  • PG 448 Lines 4-17 Govt will set performance targets 4 ALL Accountable Care Organizations incl. private. 

  • PG 455 Lines 3-4 Govt exempts itself frm Chapter 35, Title 44 Paperwork Reduct & Citizens Privacy Prot. Act 

  • Pg 460 Sec 1302 – Knock Knock – It’s the Govt and I’m here w the Medical Home Program – YOUR home

  • Pg 460 Sec 1302 The Govt WILL provide medical svcs in ur home. Paging Nurse Pelosi !! 

  • Pg 464 Lines 17-22 Indep. Patient Ctr Home Med Svcs – Drs dont have 2 b at ur home just some1 directed by Dr. 

  • Pg 469 – Community Based Home Medical Services=Non profit orgs. Hello, ACORN Medical Svcs here!!? 

  • PG 476 19-20 Chapter 35/ title 44, (Privacy of pers records) shall not apply Home Med Svcs. ACORN ACCESS! 

  • PG 489 Sec 1308 The Govt will cover Marriage & Family therapy. Which means they will insert Govt in2 ur marriage. 

  • Pg 494-498 Govt will cover Mental Health Svcs including defining, creating, rationing those svcs. 

  • PG 502 Sec 1181 Ctr 4 Comparative Effectiveness Research Established. – Hello Big Brother – Literally. 

  • Pg 503 Lines 13-19 Govt will build registries and data networks from YOUR electronic med records. 

  • Pg 503 lines 21-25 Govt may secure data directly from any depart or agency of the US incl ur data.

  • Pg 504 Lines 6-10 The “Center” will collect data both pub & unpub (that means public & ur private info)

  • PG 506 Lines 19-21 The Center will recommend policies that would allow for public access of data. 

  • PG 518 Lines 21-25 The Commission will have input from HC consumer reps – Can u say unions & ACORN? 

  • PG 524 18-22 Comparative Effectiveness Research Trust Fund set up. More taxes for ALL. 

  • PG 621 Lines 20-25 Govt will define what Quality means in HC. Since when does Govt know about quality?

  • Pg 622 Lines 2-9 To pay 4 the Qual Standards Govt will xsfer $$ from 2 other Govt Trust Funds. More Taxes. 

  • PG 624 “Quality” measures shall b designd 2 assess outcomes & functional status of patients. 

  • PG 624 “Quality” measures shall b designd to profile u including race, age, gender, place of residence, etc 

  • Pg 628 Sec 1443 Govt will give “Multi-Stake Holders” Pre-Rule Making input in2 Selection of “Quality” Measures

  • Pg 630 9-24/631 1-9 Those Multi-stake holder groups incl. Unions & groups like ACORN deciding HC quality. 

  • Pg 632 Lines 14-25 The Govt may implement any “Quality measure” of HC Services as they see fit. 

  • PG 633 14-25/ 634 1-9 The Secretary may issue non-endorsed “Qual Measures” 4 Physician Svcs & Dialysis Svcs.

  • PG 633 14-25/ 634 1-9 The Secretary may issue non-endorsed “Qual Measures” 4 Physician Svcs & Dialysis Svcs.

  • Pg 635 to 653 Physicians Payments Sunshine Provision – Govt wants to shine sunlight on Docs but not Govt.

  • Pg 654-659 Public Reporting on Health Care-Associated Infections – Looks okay. 

  • PG 660-671 Doctors in Residency – Govt will tell U where ur residency will b, thus where u’ll live.

  • Pg 676-686 Govt will regulate hospitals in EVERY aspect of residency programs, incl. teaching hospitals. 

  • Pg 686-700 Increased Funding 2 Fight Waste, Fraud, and Abuse. LMAO!! U mean the Govt w an $18 mil website? 

  • PG 711 Lines 8-14 The Secretary has broad powers to deny HC providers/suppliers admittance into HC Exchng. 

  • Pg 719-720 Sec 1637 ANY Doctor who orders durable med equip or home med svcs MUST b enrolled in Medicare.

  • PG 722 Sec 1639 Govt MANDATES Doctors must have face2face w patient 2 certify patient 4 Home Health Svcs.

  • PG 725 1-5 The same Govt certifications will apply 2 medicaid & CHIP (ur kids)

  • PG 724 Lines 16-22 Govt reserves rt 2 apply face2face certification 4 patient to ANY other HC service.

  • PG 732 Sec 1639 Govt MANDATES Doctors must have face2face w patient 2 certify patient 4 Home Health Svcs. 

  • Pg 735 lines 16-25 For law enforce. purposes the Secretary-HHS will give Atty General access to ALL data.

  • PG 740-757 Govt sets guidelines 4 subsidizing the uninsured (Thats UR tax dollars peeps)

  • Pg 757-762 Fed govt will shift burden of payments 2 Disproportionate Share Hospitals (DSH) 2 States. (Taxes)

  • Pg 765 Sec 1711 Govt will require Preventative Services including vaccines. (Choice?)

  • Pg 768 Sec 1713 Govt – Nurse Home Visitation Svcs (Hello union paybacks)

  • Pg 769 11-14 Nurse Home Visit Svcs include-economic self-sufficiency, employ adv, school-readiness. WTF?!! 

  • Pg 769 3-5 Nurse Home Visit Svcs – “increasing birth intervals btwn pregnancies.” Govt ABORTIONS any1?

  • Pg 769 3-5 Nurse Home Visit Svcs – “increasing birth intervals btwn pregnancies.” Govt Abortions any1? 

  • Pg 770 SEC 1714 Fed Govt mandates eligibility 4 State Family Planning Svcs. Say abortion & State Sovereign.

  • Pg 789-797 Govt will set, mandate drug prices, controlling which drugs brought 2 mrkt. Bye innovation

  • PG 801 Sec 1751 The Govt will decide which Health care conditions will be paid. Say RATION!

  • Pg 810 SEC. 1759. Billing Agents, clearinghouses, etc req. 2 register. Govt takes over private payment sys.

  • PG 829-833 Govt will impose a fee on ALL private health ins. plans incl. self insured to pay for Trust Fund! 

  • PG 835 11-13 fees imposed by Govt for Trust Fund shall be treated as if they were taxes. No sh*t

  • Pg 838-840 Govt will design & implem. Home Visitation Prog 4 families w young kids & families expect kids.

  • PG 844-845 OMG! This Home Visitation Prog. includes Govt coming in2 ur house & telling u how 2 parent

  • Pg 859 Govt will establish a Public Health Fund at a cost of $88,800,000,000. Yes thats Billion.

  • Pg 865 The Govt will MANDATE the establishment of a National Health Service Corps

  • PG 865 to 876 The NHS Corps is a program where Drs. perform mandatory HC for 2yrs for part loan repayment

  • PG 876-892 The govt takes over the education of our Med students and Drs

  • PG 898 The Govt will establish a Public Health Workforce Corps. 2 ensure supply of public health prof.

  • PG 898 The Public health workforce corps shall consist of civilian employees of the U.S. as Secretary deems.

  • PG 898 The Public health workforce corps shall consist of officers of Regular & Reserve Corps of Service.

  • PG 900 The Public Health Workforce Corps includes veterinarians

  • PG 901 The Public Health Workforce Corps WILL incl commissioned Regular & Reserve Officers. HC Draft? WTF!

  • PG 910 The Govt will develop, build & run Public Health Training Centers.

  • PG 913-914 Govt starts a HC affirmative action program thru guise of diversity scholarships.

  • PG 915 SEC. 2251. Govt MANDATES Cultural & linguistic competency trng 4 HC professionals.

  • Pg 932 The Govt will estab Preventative & Wellness Trust fund- intial cost of $30,800,000,000-Billion

  • PG 935 21-22 Govt will identify specific goals & obj 4 prevention & wellness activities. Control U

  • PG 936 Govt will develop “Healthy People & National Public Health Perform. Standards” Tell me what 2 eat?

  • PG 942 Lines 22-25 More Govt? Offices of Surg. Gen. -Public Health Svc, MinorityHealth, Women’s Health

  • PG 950- 980 BIG GOVT core pub health infrastruc. incl workforce capacity, lab systems; health info sys, etc

  • PG 993 Govt will establish school based health clinics. Ur kids wont have a chance.

  • PG 994 School Based Health Clinic will be integrated into the school environment. Say GOVT Brainwash!

  • PG 1001 The Govt will establish a National Medical Device Registry. Will u be tracked?

  • PG 1003 9-11 National Med Dev Reg ‘‘(iii) other postmarket device surveillance activities” U WILL b tracked.

  • PG 1018 States give up some of their State Sovereignty.

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